Individual
LAWRENCE SANJAY PERSAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
78 MEADOW LN, NANUET, NY 10954-5110
(845) 641-8530
Mailing address
78 MEADOW LN, NANUET, NY 10954-5110
(845) 641-8530
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
541675
NY
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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